Tiffany Young Sreca, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055997-1 Issued in NY

Practice address

2534 Genesee St
The Center for Comprehensive Dentistry
Utica, NY 13502-5814

Phone

(315) 724-5141

NPI assigned

Sep 17, 2009

Last updated

Sep 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiffany Sreca DMD PC

  dba Deerfield Valley Dental Care

  • Dental Clinic/Center
  • Wilmington, VT
  • NPI 1801520796
  NPD Authorized official
• DRS Mark Slavin and Brian Jackson Mark Slavin Gen PTR

  • Dentist
  • Utica, NY
  • NPI 1982904868
  NPD (past)
• Slavin, Jackson, & Burns DDS PLLC

  • General Practice Dentistry
  • Utica, NY
  • NPI 1548382427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1669705935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 GENESEE ST",
            "address_2": "THE CENTER FOR COMPREHENSIVE DENTISTRY",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025814",
            "telephone_number": "315-724-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 GENESEE ST",
            "address_2": "THE CENTER FOR COMPREHENSIVE DENTISTRY",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025814",
            "telephone_number": "315-724-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRECA",
        "first_name": "TIFFANY",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055997-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Sperling, MD
• Sphere Psychological Services
• Ann Louise Spina, PT
• Nancy Anne Spina
• Alexis Sprague, MSW
• St Elizabeth Medical Center (MVHS Inc)
• St Elizabeth Medical Center (MVHS Inc)
• St Elizabeth Medical Center (MVHS Inc)
• St Elizabeth's Homecare Inc
• St Luke's Home Residential Health Care Facility Inc (MVHS Rehabilitation & Nursing Home)

• General Practice Dentistry in Utica, NY
• Providers in Utica, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.